Individual
SHADIANNA SINGH VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2317 BLANDING BLVD STE 102, JACKSONVILLE, FL 32210-4167
(904) 200-7979
(904) 200-7979
Mailing address
2317 BLANDING BLVD STE 102, JACKSONVILLE, FL 32210-4167
(904) 200-7979
(904) 200-7979
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0010314
FL
106E00000X
Assistant Behavior Analyst
Primary
0010314
FL
Other
Enumeration date
06/04/2025
Last updated
03/17/2026
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